Abstract
The majority of errors in healthcare are from systems factors that create the latent conditions for error to occur. The majority of occupational stressors causing burnout are also the result of systemic factors. Advances in technology create new levels of stress and expectations on healthcare workers (HCW) with an endless infusion of requirements from multiple authoritative sources that are tracked and monitored. The quality of care and safety of patients is affected by the wellbeing of HCWs who now practice in an environment that has become more complex to navigate, often expending limited neural resource (brainpower) on classifying, organizing, constantly making decisions on how and when they can accomplish what is required(extraneous cognitive load) in addition to direct patient care. New information demonstrates profound biological impact on the brains of those who have burnout in areas that affect the quality and safety of the decisions they make-which affects risk to patients in healthcare. Healthcare administration curriculum currently does not include ways to address these stress-induced problems in healthcare delivery. The science of human factors and ergonomics (HFE) promotes system performance and worker wellbeing. Patient safety is one component of system performance. Since many requirements come without resource to accomplish them, it becomes incumbent upon health system leadership to organize the means for completion of these to minimize the needless loss of brain power diverted away from the delivery of patient care. Human Factor-Based Leadership (HFBL) is an interactive, problem solving seminar series designed for healthcare leaders. The purpose is to provide relevant human factor science to integrate into their leadership and management decisions to make HCWs occupational environment more manageable and sustainable-which makes safer conditions for clinician wellbeing and patient care. After learning the content, a cohort of healthcare leaders believed that adequately addressing HFE in healthcare delivery would significantly reduce clinician burnout and risk of latent errors from upstream leadership decisions. An overview of the content of the seminars is described. Leadership feedback on usability of these seminars is reported. Three HFBL seminars described are Human Factor Relevance in Leadership, Biopsychosocial Approach to Wellness and Burnout, Human Factor Based Leadership: Examples and Applications.
Highlights
The Institute of Medicine (IOM) 1999 Report “To Err is Human: Building a Safer Health System” emphasized that the majority of errors in healthcare are the result of systems factors [1]
The quality of care and safety of patients is affected by the wellbeing of healthcare workers (HCW) who practice in an environment that has become more complex to navigate, often expending limited neural resource on classifying, organizing, constantly making decisions on how and when they can accomplish what is required(extraneous cognitive load) in addition to direct patient care
Since many requirements come without resource to accomplish them, it becomes incumbent upon health system leadership to organize the means for completion of these to minimize the needless loss of brain power diverted away from the delivery of patient care
Summary
The intervention method is teaching an application of HFE to healthcare leaders that is pre-clinician, i.e., taught to healthcare leaders, managers and quality and safety professionals to empower them to create better work conditions. This education promotes wellbeing of those they lead while minimizing latent errors and a burnout-inducing environment that could result from their decisions. It provides mechanisms on how ultimate patient experience and outcomes get affected by decisions that affect clinicians and their work environment which affects the healing environment for patients. Clinicians Wellbeing and safety of staff Clinician engagement and retention Going the extra mile Ability to provide compassionate care Intrinsic joy and meaning in work Loyalty to and trust in institution
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